20111017 Ver 1_Application_20110104

Mr. Monte Matthews
Bridge #37 on SR 1340
Page 2
December 30, 2010
project will have no effect on any federally listed endangered plant or animal species. Historic
compliance work will be scheduled and concurrence with the State Historic Preservation Office
will be obtained if required.
The project impacts are not significant in nature and should not alter the best usage for this
stream. All appropriate BMPs will be used during construction. Attached is a Preconstruction
Notification Form, plan sheets, photographs, a marked county map and a marked topography
map.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely,
Heath Slaughter
Division Environmental Officer
Enclosures
cc: Monte Matthews, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Wrenn, Division of Water Quality (2 copies)
Matt Gantt, PE, Land Quality Section
Mike Pettyjohn, PE, Division Engineer
Ivan Dishman, PE, Division Bridge Program Manager
Mike Summers, SBMU
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
of warCA Office Use only:
bu da?"Corps action ID no.
f ? DWQ project no.
° Y Form Version 1.3 Dec 10 2008
(PC'N) Form
-- A. H na au. --
- - ---------------
1. Processing
1 a. Type(s) of approval sought from the ® Section 404 Permit ? Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: 13 or General Permit (GP) number:
Yes No
1 c. Has the NWP or GP number been verified by the Corps? ?
1 d. Type(s) of approval sought from the DWQ (check all that apply):
Non-404 Jurisdictional General Permit
? 401 Water Quality Certification -Regular ?
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
I for Cor s Permit:
1 e. Is this notification solely for the record For the record only for DWQ 401
because written approval is not required? Certification:
® Yes ? No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
2. Project Information
2a. Name of project: Bridge #37, TIP# B-5226
2b. County: ""°`°"y°
2c. Nearest municipality / town: Boone
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state 42824.1.1
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if

3d. ^rr -
Street address:
801 Statesville Road
North Wilkesboro, NC 28659
3e. City, state, zip:
3f. Telephone no.: 336-903-9202
3g. Fax no.: 336-667-4549
3h. Email address: [e-mail]
For the record on y p
? Yes ® No
? Yes ® No
? Yes ® No
? Yes ® No
Page 1 of 10
PCN Form - Version 1.3 December 10, 2008 Version
Page 2 of 10
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
- Latitude: 36.30813
1 b. Site coordinates (in decimal degrees): (DD.DDDDDD)
1 c. Property size:
0.1 acres
2.. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Meat Camp Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C, Trout +
-
2c. --
River basin:
New
Longitude: -81.68762
3. Project Description
Za. Describe the existing conditions on the site and the general lard use in the vicinity of the project at the time of this
application:
Substandard bridge to be replaced in a rural area
3b. List the total estimated acreage of all existing wetlands on the property:
0.1 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200 linear feet
:3d. Explain the purpose of the proposed project:
Upgrade substandard stream crossing
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
corps or State been requested or obtained for this property ! ? Yes ® No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type ? preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
c c..?...e Dr^inr* Plans
6a. Is this a phased
® Yes ? No
6b. If yes, explain.
We will demo 112 of the old bridge, construct 112 of the new bridge, switch traffic to the new, demo rest of old bridge an
then complete the new structure. We need to do it this way to maintain traffic.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
I a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction

2. Wetland Impacts
li'there are wetland impacts proposed on the site, then complete this question for each weband area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
? Yes ? Corps
VV1 ? P ? T ? No ? DWQ
? Yes ? Corps
W2 ? P ? T ? No ? DWQ
? Yes ? Corps
W3 ? P ? T ? No ? DWQ
? Yes ? Corps
W4 ? P ? T ? No ? DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ? P ? T ? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
:,a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average
am
t Impact
length
number - (PER) or (Corps - 404, 10 s
re
Permanent (P) or intermittent DWQ - non-404, width (linear
feet)
Temporary (T) (INT)? other) (feet)
S1 Z P ? T Riprap Meat Camp Creek ® PER
? INT ® Corps
® DWQ -10 120
? PER ? Corps
S2 ? P ? T ? INT ? DWQ
? PER ? Corps
S3 ? P ? T ? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
S5 ? P M T ? INT ? DWQ
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts 120
3i. Comments: No impacts to waters from the new bridge itself, just riprap.
I
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
A.. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water o
the U.S. then individually list all open water impacts below. 4d 4e.
Ala. 4b. 4c.
Open water Name of waterbody Waterbod a Area of impact (acres)
impact number - (if applicable) Type of impact y tyP
Permanent (P) or
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4C Total open water impacts
4g. Comments:
5. Pond or Lake Construction -
If and or lake construction proposed, then complete the chart below. 5d Se -
5a. 5b. 5c. Upland
Wetland Impacts (acres) Stream Impacts (feet) (acres)
Pond ID Proposed use or purpose
number of pond Flooded Filled I Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments: NIA
5h. Is a dam high hazard permit required? ? Yes ® No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a. F1 Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
^
Buffer impact
number - Reason
Permanent (P) or for
61 ?P?T
B2 ?P?T
B3 ?P?T
6i. Comments:
Stream name
Buffer I Zone 1 impact I Zone 2 impact
mitigation (square feet) (square feet)
? Yes
4F1 ? ? No
? No
? Yes
No
6h. Total buffer impacts
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
FD. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specitlcally describe measures taken to avoid or minimize the proposed impacts in designing project.
Replacing bridge with new bridge. Care was taken in design to avoid wetland fill just south of the bridge.
rI b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All appropriate BMPs will be used during construction
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2h. If yes, mitigation is rcyuired by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
® No
6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. Required mitigation
Zone Reason for impact Total impact I Multiplier (square feet)
(square feet)
1 3 (2 for Zone Catawba)
1.5
Zone 2
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan

1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why. ? Yes ? No
Comments:

r . Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
:2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review

3a. In which local government's jurisdiction is this project?
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review

? Coastal counties
? HQW
4a . Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
Yes No
? ?
attached?
5. DWQ 401 Unit Stormwater Review

5a . Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b . Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federallstate) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes
? No
letter.)
Comments;
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
S. Endangered Species and Designated Critical Habitat (Corps Requirement)

5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes Q No
impacts?
? Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
visual observation
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? E) Yes ® No
8b . If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? ncfloodmaps
J. Heath Slaughter ?f-- 12/30/10
ApplicanVAgent's Printed Name Applicant/Agent's Si
(Agent's gnature is valid only if an authoriz g ature
ion letter from the applicant Date
is provided.)
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version
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